Active NPI
Felipe O Ortiz, M.D.
- Pulmonary Disease Physician
- Leesburg, FL
National Provider Identifier
1811989569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME0074213
- Practice address
- 501 Medical Plaza Dr
Suite 102
Leesburg, FL 34748-7324 - Phone
- (352) 728-0709
- Fax
- (352) 728-6460
- NPI assigned
- Aug 18, 2005
- Last updated
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME0074213 | FL | Primary |
Addresses
Primary practice location
501 Medical Plaza Dr
Suite 102
Leesburg, FL 34748-7324
Mailing address
501 Medical Plaza Dr
Suite 102
Leesburg, FL 34748-7324
Phone (352) 728-0709
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252861400 | Medicaid | FL | |
| 42383 | Other | FL | BLUE SHIELD |
| K0026 | Other | FL | GROUP NUMBER |
| 253650100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Medical Plaza Dr
Suite 102
Leesburg, FL 34748-7324
Phone (352) 728-0709
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0074213 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Pulmonary & Sleep Disorders Clinic P.a. | Pulmonary Disease | Current | Accepting new patients |
| Pulmonary Group of Central Florida, LLC | Pulmonary Disease | Past | Accepting new patients |
Locations
501 Medical Plaza Dr
Ste 102
Leesburg, FL 34748
Phone (352) 728-0709
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- drortiz@lpasdcp-fl.direct.office.nextgen.com
- fortiz562707@direct.shands.ufl.edu
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Leesburg, FL
- NPI 1962497545
-
- Pulmonary Disease Physician
- Leesburg, FL
- NPI 1346409802
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
-
dba UF Health Spanish Plaines Hospital
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1811989569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MEDICAL PLAZA DR",
"address_2": "SUITE 102",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487324",
"telephone_number": "352-728-0709",
"fax_number": "352-728-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MEDICAL PLAZA DR",
"address_2": "SUITE 102",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487324",
"telephone_number": "352-728-0709",
"fax_number": "352-728-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "FELIPE",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME0074213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252861400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "42383",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "K0026",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253650100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.